Provider Demographics
NPI:1073895942
Name:KURANI, BHRANTI
Entity Type:Individual
Prefix:
First Name:BHRANTI
Middle Name:
Last Name:KURANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BHRANTI
Other - Middle Name:
Other - Last Name:PIPARIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4350 7TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-6890
Mailing Address - Country:US
Mailing Address - Phone:309-517-1180
Mailing Address - Fax:309-517-1113
Practice Address - Street 1:4350 7TH ST
Practice Address - Street 2:STE B
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6890
Practice Address - Country:US
Practice Address - Phone:309-517-1180
Practice Address - Fax:309-517-1113
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator